is a Family Medicine in Saint Louis, Missouri. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1659322287. The last update date is .
's current location address is 5535 Delmar Boulevard, Saint Louis, Missouri. You can contact this provider via phone number 3148796309 and fax number 3148796372. The mailing address for is 5535 Delmar Boulevard, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5535 Delmar Boulevard, Saint Louis, Missouri |
| Phone Number | 3148796309 |
| Fax Number | 3148796372 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659322287 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5535 Delmar Boulevard |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631123005 |
| Phone Number | 3148796309 |
| Fax Number | 3148796372 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2004002967 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209353903 | MO | -- | |
| 11462947 | MO | -- |
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